No Laparoscopic instrument is asversatile, educated and safe as theexperienced Surgeon’s Hand

Lap Disc Ethicon Endosurgery

Hand Assisted RightColectomy

for Hepatic FlexureCancer

HALS

Robotic Colorectal Surgery

Disadvantages of

Laparoscopic surgery

•Unstable video cameraimaging

•Dependency on assistant’sskills

Disadvantages of

Laparoscopic surgery

•Limited motion of instruments

The Surgical instruments are Rod-like having nowrist movement at the tip which required fromthe surgeon to move his arms in large scalemovements outside the patients body for theinstrument tip (internally) to get to the desiredlocation.

The movement of the instruments/scope wereawkward (counter-intuitive) meaning that if thesurgeon wants to move the instrument/scope tothe left, he has to move to the right from outside.

Related loss of dexterity

Disadvantages of

Laparoscopic surgery

(Contd)

•The scope displays only a 2D image onthe display which has no depthperception. The surgeon needed toover/under shoot the target anatomy tobe able to allocate it properly.

•The Surgeon gets tired

•Awkward position such as twisting his neckto be able to follow up the surgical sitedisplayed on the monitor.